Local Health Department Billing Manual

Compliance

Risk mitigation starts with understanding compliance guidelines.

Document Title	Date Document Added	Source
General
OIG Work Plan Recently Added	Oct 15, 2024	Office of Inspector General
US Department of HHS OIG General Compliance Program Guide	Oct 13, 2024	DHHS
PDMP Use Mandate Frequently Asked Questions	Feb 22, 2023	MDH
OIG FY2023 Work Plan	Feb 22, 2023	OIG
HHS Proposes New Protection to Increase Care Coordination and Confidentiality for Patients with Substance Use Challenge	Feb 22, 2023	HHS
Kaiser Compliance and Regulatory Policy	Apr 15, 2023	Kaiser
MD Insurance Commissioner Provider Issues	Apr 15, 2023	Maryland Insurance Administration
Compliance Program Guidance	Apr 15, 2023	Office of Inspector General
Federal Register OIC Compliance Program	May 31, 2023	Office of Inspector General
Medicare Fraud & Abuse: Prevent, Detect, Report	May 31, 2023	CMS
Medicare Program Integrity Manual	May 31, 2023	HHS
24 State Attorneys General Confirm Support for Stronger HIPAA Protections for Reproductive Health Data	Jun 30, 2023	The HIPPA Journal
HIPAA Compliance Matrix.xlsx	Jun 30, 2023	MRCS
24 State Attorneys General Confirm Support for Stronger HIPAA Protections for Reproductive Health Data	Jun-2023	The HIPAA Journal
HIPAA Compliance Matrix.xlsx	Jun-2023	Medical Revenue Cycle Specialists
Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care	Jul 31, 2023	OIG
Refining Your Leadership Posture by Setting the Tone for Your Organization	JUL 31, 2023	Oncology Practice Management
CMS
Compliance Review Program	Feb 22, 2023	CMS
2021 Compliance Review Program Findings	Feb 22, 2023	CMS
Payment Error Rate Measurement Program	Apr 15, 2023	Maryland Medicaid
Medicare Claim Review Programs	May 31, 2023	CMS
HIPAA
HIPAA Updates and HIPAA Changes in 2024	Oct 10, 2024	The HIPPA Journal
Submitting a Notice of Breach to the Secretary	Oct 9, 2024	DHHS
The HIPAA Administrative Simplification FAQ	Sep 27, 2024	DHHS-CMS
Healthcare Most Targeted Industry in Mobile Phishing Campaigns	Sep 26, 2024	The HIPAA Journal
HHS Office for Civil Rights Issues Bullentin on Requirements on HIPAA for online tracking Technologies to Protect the Privacy and Security of Health Information	Feb 22, 2023	HHS
HIPAA and Telehealth	May 31, 2023	Upper Midwest Telehealth Resource Center
HHS, FTC Warn Hospitals and Telehealth Providers About Third Party Tracking Tech	Jul 31, 2023	XTelligent IT Security
No Surprises Act
No Surprise Billing Rules: Co-Provider Requirements Begin in 2023	Feb 22, 2023	HH Healthlaw Blog
No Surprises Act Toolkit	Mar 29, 2023	AMA
Federal Independent Dispute Resolution Process - Status Update	Jun 30, 2023	DHHS, DOL and Dept of the Treasury
Partial Report on the IDR Process	Jun 30, 2023	DHHS, DOL and Dept of the Treasury
Stark Law / Anti Kickback Statute
Temporary Stark Law waivers during COVID-19	Dec-2020	AMA
COVID-19 Blanket Waivers Section 1877	Mar-2020	AMA
Billing & Coding
Information on the Change Healthcare Cyber Response	Oct 31, 2024	United Healthcare
HHS-OIG Identifies Need for Increased Oversight of RPM	Sep 25, 2024	The HIPAA Journal
Optum Compliance_Issues_PHP_IOP_2.7.24.pdf (optum.com)	Feb-2024	Optum
Compliance_Issues_PHP_IOP_2.7.24.pdf (optum.com)	Feb-2024	Payer